33D2117603 CLIA NUMBER - GENESIS RENAL CARE

Laboratory Demographics

  • CLIA Code: 33D2117603
  • Facility Name: GENESIS RENAL CARE
  • Facility Address: 74-07 88TH STREET
    GLENDALE, NY
    ZIP 11385
  • Facility Phone: 646 931-1000
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ALLA GOLDBERG
  • NPI Number: 1962888560
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2117603
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GENESIS RENAL CARE
Street 74-07 88TH STREET
City GLENDALE
State NY
ZIP 11385
Phone 646 931-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2016
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ALLA GOLDBERG

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This page was last updated on: 9/29/2025